The nurse determines that instruction of a client taking ganciclovir (Cytovene) is effective when the client states:
1. "I can take this medication on an empty stomach."
2. "This medication is OK to take during pregnancy."
3. "I should avoid becoming pregnant while on this medication."
4. "I can stop taking the medication when my symptoms are gone."
Correct Answer: 3
Rationale 1: Ganciclovir should be taken with food.
Rationale 2: Ganciclovir is in pregnancy category C and should be avoided during pregnancy.
Rationale 3: This response is correct. Ganciclovir is in pregnancy category C and should be avoided during pregnancy.
Rationale 4: Clients should talk with their doctor before stopping the medication, as it may need to be taken even after symptoms subside.
Global Rationale: An adverse effect of ganciclovir is bone marrow suppression, which can manifest as anemia, neutropenia, thrombocytopenia, or pancytopenia. As a result, clients should inform their health care provider of signs of illness to prevent further decrease in lab levels. Ganciclovir should be taken with food. Ganciclovir is in pregnancy category C and should be avoided during pregnancy. Clients should talk with their doctor before stopping the medication, as it may need to be taken even after symptoms subside.
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